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KNOW YOUR CLIENT (Partnership Firm)

Recent
PLEASE FILL UP IN ENGLISH AND IN BLOCK LETTERS Coloured
Photo of
Authorized
Signatory
A. IDENTITY DETAILS
1) Name of Firm

2) Address (Permanent Address)

3) IEC CODE

4) Telephone Number

5) Fax Number

6) E-Mail Address

7) Pan No.
B. PARTNERS DETAILS

NAME ADDRESS TELEPHONE E-MAIL


NOS. ADDRESS

C. CONTACT DETAILS

1) Name of Contact Person( Person authorized to transact Customs Business)

2) Address of Contact Person

3) Telephone Number

4) Mobile Number
5) E-Mail Address

Enclo: (any two of the following)

a) Registration Certificate (if registered)/(Self attested)


b) Partnership Deed
c) Power of Attorney of Contact Person
d) Copy of Pan Allotment Letter (self attested)
e) Photo Identity Card of Partner/s (self attested)
f) Photo Identity Card of Contact Person (self attested)
g) Telephone Bill in the name and address of the firm.

I confirm that the above information is true and agree to provide additional information/documentation that
may be required in terms of Public Notice No. 50 & 51/2009 dated 13/10/2009 issued by the Commissioner
of Customs (Port) Kolkata.

------------------------------------------ -----------------------------------------------

Signature of Partner Signature of Contact Person


Dated:

TO WHOM MAY CONCERN

We do hereby declare that M/s. A.K. SIRCAR & SONS, 6, Commercial Building
(Ground Floor), 23, Netaji Subhas Road, Kolkata- 700 001, Is our Authorised Custom
House Agents to handle our all Export & Import Consignments from Kolkata/Haldia Sea Port and other
relating authorities on behalf of us.

They are concerned for clearance of our consignments and not responsible for any
Discrepancies related to value, quantity and quality of the cargo.

This letter of authority is valid until and unless it is cancelled by us.

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